Policy for Priority Result Reporting - Quest Diagnostics
Policy for Priority Result Reporting
Purpose/Introduction The Quest Diagnostics Priority Result Reporting Policy describes the reporting of test
results assigned a variable level of Priority (P1 or P2) depending on thresholds established and amended by medical consensus and approved by the Chief Laboratory Officer or designee. The Priority Result Reporting Policy is in addition to the regular reporting procedure for all test results (such as reports delivered electronically, via fax, or mail).
It is the ongoing responsibility of the provider to supply Quest Diagnostics with accurate and up-to-date contact information for persons who are authorized to receive Priority Value reports.
We will notify the ordering provider or authorized representative of Priority Value(s) for their patients. Thereafter, the provider or authorized representative has the responsibility of interpreting the result in the context of the patient's clinical condition and to take appropriate action, if needed. If the person notified is not qualified to make these decisions, they have a responsibility to communicate the information to a qualified person immediately.
Priority Level Definitions Priority 1 test results are reported 24 hours/day and 7 days/week and may be "critical" as referenced in the Clinical Laboratory Improvement Amendments of 1988 (CLIA; CFR 493.1291g) and the CAP Laboratory Accreditation Program. Priority 2 test results are reported during office hours, if known, or 9 am to 5 pm, 7 days/week and may require attention prior to the receipt of routine laboratory reports. For facilities that are known to us as a nursing home or hospital, we will use reasonable efforts to promptly communicate Priority results 24 hours/day and 7 days/week. The Priority Value Table thresholds will not be customized (changes, deletions, or additions) without a signed client request and approval by the laboratory medical director or regional medical director.
Sincerely,
Enrique Terrazas, MD, MS VP, Chief Laboratory Officer
Quest Diagnostics Priority Result Reporting Policy (client synopsis) Form ID: QDMOQ371 Form Version #: 6
Revised 2/2024
Priority Value Tables by Testing Department
Chemistry / Special Chemistry
Analyte Ammonia Amylase Bilirubin, total Calcium, total Calcium, ionized
CKMB
[umol/L] [U/L]
[mg/dL] [mg/dL] [mg/dL]
CK
[U/L]
Creatinine
[mg/dL]
Galactose, urine
[mg/dL]
Galactose1Phosphate
[mg/dL]
Glomerular Basement
Membrane Ab IgG,
[AI]
Glucose, serum
[mg/dL]
* Glucose results are flagged P1P2 regardless of
ordered test (OGTT, random glucose, serum, or
plasma). When results are called to the client, the
report title of the test result should be made known to
the client.
Glucose, CSF,
[mg/dL]
Lipase
[U/L]
Magnesium, serum or plasma
[mg/dL]
Phosphate (as phosphorus), serum or plasma
[mg/dL]
Potassium, serum or plasma
[mmol/L]
Sodium, serum or plasma
[mmol/L]
Transferrin, Beta-2
Troponin (I or T)
[ng/mL]
Troponin, High Sensitivity (I or T)
[ng/L]
TSH Uric Acid Viscosity, serum
[mIU/L] [mg/dL] [relative to water]
Priority 1 (called 24 hrs, 7 days)
Age 18 y
Low
High >200
2 y
15.0
All
6.0
13.0
All
3.2
>6.9
All
1.0
All
cutoff
value
All
3.0
Priority 2 (office hours, 7 days)
Age
Low
High
All
300
All
18 y >18 y
All 2 y 2 y
>positive cutoff value (varies with
assay)
1000
6000
8.00
>70
>5.0
All
400499
All
180
All
Positive (Detected)
1 y
40.00
All
>14.0
Quest Diagnostics Priority Result Reporting (Appendix B) Page 1 of 9
Effective April 29, 2024 (QDMOQ372 v17) (replaces all previous versions)
Priority Value Tables by Testing Department
Hematology / Coagulation / Urinalysis
Analyte
Hemoglobin
WBC Neutrophils, absolute number Blasts, absolute number
[g/dL]
[/uL] [/uL] [/uL]
Cerebrospinal fluid (CSF)
Malaria parasites or other organisms (Babesia, Ehrlichia, Trypanosomes etc.) [also appears in Microbiology section]
Platelet Count, absolute number
[/uL]
Partial Thromboplastin Time (aPTT) [sec.]
Prothrombin Time - International Normalized Ratio (PT-INR)
ADAMTS13 Activity reflex to Inhibitor
(Von Willebrand Factor Protease
Cleaving Activity)
[IU/mL]
Coagulation Factor VIII, IX and XI Inhibitor [Bethesda Unit]
Coagulation Factor XIII, Activity
[%]
Coagulation Factors VIII & IX, Activity [%]
Cryoglobulin
[%]
Fibrinogen Clotting Activity, Clauss [mg/dL]
Heparin
[IU/mL]
Heparin-Induced Platelet Antibody
Serotonin Release Assay
[%]
Protein C and S Activity %
Priority 1 (called 24 hrs, 7 days) Priority 2 (office hours, 7 days)
Age 12 y >12 y
All All
All
All
All All All
Low ................
................
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